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Flashcards in Clinical- 4 Deck (143)
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1

What is a coma?

A state of deep unarousable unresponsiveness that lasts for a prolonged or indefinite period.

2

What is delirium?

A confusional state in which the level of conscience is depressed but to s lesser extent than a coma

3

What is dementia?

A chronic confusional state that develops months to years (med school)

4

What are some pre-existing conditions that may predispose you to confusional states?

Alcoholism, drugs, diabetes, heart disease, epilepsy, head trauma, and various therapeutic drugs

5

What is the main difference between delirium vs dementia?

Delirium is several hours-days, dementia develops over months-YEARS

6

What are the clinical signs of hypoglycemia?

Tachycardia, sweating, and dilated pupils progressing to mimic herniation with or without lateralized Sx.

7

Hypoglycemia-Dx

Low plasma glucose

8

Hypoglycemia-Tx

IV GLUCOSE YEEEEE

Think diabetic shock!

9

Bacterial meningitis-Sx

Headache, fever, brudzkinski/Kernig sign

10

Bacterial meningitis- Dx

+ CSF ram stain, low CSF glucose, increased CSF protein

11

Bacterial meningitis- Tx

IV antibiotics

12

What are the 2 types of trauma injuries to cause delirium or dementia?

Subarachnoid hemorrhage anew traumatic intracranial hemorrhage

13

Wernickes encephalopathy- Sx

Opthalmoplegia, ataxia

14

Wernickes encephalopathy- Dxq

Macrocyclic anemia possible.

15

Wernickes encephalopathy- Tx

IV thiamine

16

What could fever a sign of?

Infection, anti cholinergic or sympathy mimetic intoxication, ethanol or sedative drug withdraw, sepsis

17

What could hypothermia be a sign of?

Ethanol or sedative drug intoxification, hepatic encephalopathy, hypoglycemia, hypothyroidism, sepsis

18

What could HTN be a sign of?

Anti cholinergic or sympathomimetric intox, ethanol or sedative drug withdrawal, HTN encephalopathy, subarachnoid hemorrhage

19

What could bradycardia be a sign of?

Hypothyroidism

20

What could hyperventilation be a sign of?

Hepatic encepalopathy, hyperglycemia, sepsis

21

Neck stiffness could be a sign of what?

Meningitis or subarachnoid hemorrhage

22

Battle sign, raccoon eyes, hemotympanum, or CSF oto/rhinorrhea could be a sign of what?

Head trauma

23

What could jaundice be a sign of?

Hepatic encephalopathy

24

Petechial rash could be a sign of what?

Meningococcal meningitis

25

Heart murmurs could be a sign of what 2 things?

Infection or stroke

26

Abdominal mass could be a sign of what 4 things?

Aliens, infections, tumors, hepatic encephalopathy

27

Rectal bleeding could be a sign of what?

Hepatic encephalopathy

28

Papillae demos could be a sign of what 2 things?

HTN encephalopathy, intracranial mass

29

Dilated pupils could be a sign of what 4 things?

Head trauma, sedative drugs, withdrawal from ethanol or sedative drugs, sympathomimetric intoxication

30

Constricted pupils is a sign of what?

Opioid intoxication